Individual
JEFFREY A KURRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4530
(815) 759-8053
Mailing address
1220 E 3900 S STE 2C, SALT LAKE CITY, UT 84124-1319
(801) 263-2482
(801) 263-2424
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036155260
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
275268-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
336142
LA
207RP1001X
Pulmonary Disease Physician
275268-1205
UT
207RP1001X
Pulmonary Disease Physician
336142
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007682101
SELECT CARE
—
01
—
110142000
RAILROAD MEDICARE
—
01
—
2295
UNIV OF UTAH
—
01
—
345899
DMBA
—
01
—
44399
PEHP
—
01
—
870450466B
FIRST HEALTH
—
01
—
870450466JE1
EMIA
—
01
—
PRA01659
MOLINA
—
01
—
QM0000018105
ALTIUS
—
Enumeration date
06/29/2006
Last updated
05/15/2023
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